Similar to most of Steven's post. I use PDFreDirect... print to it anything you want to combine as one big PDF. Even easier if you temporarily set PDF-reDirect as the default printer... I print the chart sans imported items, then from the Import Items viewer, selectively print the files. Then save the file and set a password (still with PDFreDirect). I copy that file onto a blank CD, along with a separate ReadMe file that includes details about the file being confidential yada yada yada, and hinting to the password category for the patient.